2023

Noted (AI summary) NHS England acknowledges concerns about the death of Alice Litman and outlines its role as commissioner of gender dysphoria services. They note improvements being made to the NCMD alert system and planned analysis of reporting forms for children and young people who have died between April 2019 to March 2023 with gender distress. The Trust is developing a mandatory training package for all staff on working with people from the transgender community, co-produced with people with lived experience and their families. It is also reviewing and adding to its list of third sector organisations in its Supporting People who are Trans Policy. The RCGP expresses condolences and describes its existing work to improve care for transgender individuals, including e-learning packages and a transgender policy document. They highlight long waiting lists for specialist care and the role of GPs in providing holistic care but not specialist treatment decisions. The Tavistock and Portman NHS Foundation Trust acknowledges concerns about services for patients on the GIC waiting list. They describe the role of the GIC, noting the HA60 classification, and note new roles in development to support patients on the waiting list, and will engage with commissioners.

Noted (AI summary) NHS England acknowledges the concerns regarding insufficient medical staffing during the New Year bank holiday. They refer to the 7-Day Hospital Services Programme and the NHS Long Term Workforce Plan and note the actions taken by the University Hospitals of Leicester NHS Trust, also describing the R28 Working Group. The hospital trust has changed its electronic prescription system for anticoagulation, recruited new staff for an anticoagulation review service, included anticoagulation in its PSRIF, and increased medical staffing with consultant cover on bank holidays/weekends. They have also implemented a policy for patients/relatives to request an independent clinical review.

Noted (AI summary) HMPPS will revisit recording key dates as it continues to develop the Digital Prison Services (DPS), and it anticipates the ability to search for key words will be available by 2025. It will also issue a Senior Leaders Bulletin on the importance of recognising key dates and encouraging the use of local databases. NHS England describes the Health and Justice Information Service (HJIS) and options for flagging key dates, and refers to NICE guidance on managing medicines. It states that responsibility for cell searches lies with HMPPS. The Ministry of Justice acknowledges the concerns raised and states that HM Prison and Probation Service (HMPPS) will respond to the operational issues; the Minister endorses the HMPPS response.

Noted (AI summary) The Department acknowledges the concerns regarding prolonged opiate prescriptions, explains the role of clinicians and the MHRA, and highlights existing guidance and monitoring processes, including updates to product information and labeling.

Noted (AI summary) The Department acknowledges the concerns and refers them to the South Yorkshire Integrated Care Board. It highlights the 'Delivery plan for recovering urgent and emergency care services' and investments in staffing and bed capacity.

Noted (AI summary) The Trust will review patient safety leaflets in accordance with guidance from professional bodies such as the Royal College of Radiologists and British Society of Interventional Radiology to ensure they are supporting patients with the most contemporary medical advice. The RCR acknowledges the concerns, noting points 1 and 4 are outside their remit. They endorse GMC guidance on consent and state they don't produce patient information leaflets.

Noted (AI summary) The Home Office expresses condolences and explains the English language requirements for various immigration routes. They will tighten requirements for care workers coming to the UK on the Health and Care visa and will keep immigration requirements under review as part of this work, but does not believe raising the level of the English language requirements for Skilled Workers would be appropriate.

Noted (AI summary) NHS England explains the NHS Pathways system and its governance, noting that NHS Pathways is owned by DHSC and that all reports received are discussed by the Regulation 28 Working Group.